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卵泡穿刺治疗PCOS所致不孕症
引用本文:李岩,吴成平,丁虹丽,白静. 卵泡穿刺治疗PCOS所致不孕症[J]. 中国妇幼保健, 2007, 22(6): 791-792
作者姓名:李岩  吴成平  丁虹丽  白静
作者单位:河南省洛阳市妇女儿童医疗保健中心生殖医学研究所,471000
摘    要:
目的针对PCOS促排卵中出现的多卵泡发育及排卵障碍,采用穿刺卵泡技术治疗不孕症。方法使用HMG/HCG促排卵共31个周期,阴道B超监测卵泡发育,给予多卵泡发育患者采用刺破卵泡4~8个,吸出多余卵泡,同时行AIH或指导前一天晚上同房。结果31个周期中,当月临床妊娠5例,妊娠率16.12%。术后半年内再次促排卵自然妊娠3例,总妊娠率25.80%。结论对于PCOS患者在促排卵过程中出现多卵泡发育和排卵障碍,采用卵泡穿刺技术是一个有效且安全的方法。

关 键 词:多囊卵巢综合征(PCOS)  促排卵  卵泡穿刺
文章编号:1001-4411(2007)06-0791-02
修稿时间:2005-11-03

Treatment of ovarian follicle puncture in infertile women with polycystic ovary syndrome
LI Yan, WU Cheng - Ping, DING Hong - Li,et al.. Treatment of ovarian follicle puncture in infertile women with polycystic ovary syndrome[J]. Maternal and Child Health Care of China, 2007, 22(6): 791-792
Authors:LI Yan   WU Cheng - Ping   DING Hong - Li  et al.
Affiliation:Reproductive Medicine Unit, Luoyang Maternal and Child Health Care Hospital, Luoyang 471000, Henan, China
Abstract:
Objective:To increase the pregnancy rate after ovulation and an ovulation by follicle puncture. Methods:Tirty-one cycles were enrolled for ovulation induction by HMG/HCG. Follicles development was monitored by transvaginal ultrasonography.There were multiple follicles development in all 31 cycles, which were accepted the operation of follicle puncturing.Drilling 4 to 8 big follicles and aspirating the other small follicles.All the 31 cycles were followed by intrauterine insemination or making love last night. Results:Five patients gained clinical pregnancy in the treatment cycle.The pregnancy rate was 16.12%.Three patients gained pregnancy by another ovulation induction within half year.The total clinical pregnancy rate was 25.80%.Conclusion:The operation of follicle puncturing is an effective and safe method for treating PCOS induced infertility when multiple follicles development and anovulation.
Keywords:Polycystic ovary syndrome(PCOS)  Ovulation induction  Ovary follicle puncture
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